Individual provider Active NPI

Denise Rickenbach, LMFT, LADC

  • Marriage & Family Therapist
  • Blaine, MN
National Provider Identifier
1992351225
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3869 Issued in MN
Practice address
9298 Central Ave NE Ste 310
Blaine, MN 55434-4219
Phone
(651) 955-4633
Fax
(651) 440-9827
NPI assigned
Aug 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3869 MN Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

9298 Central Ave NE Ste 310
Blaine, MN 55434-4219

Mailing address

9298 Central Ave NE Ste 310
Blaine, MN 55434-4219
Phone (651) 955-4633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627001539 MN Practitioner - Marriage and Family Therapist 3577007855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Mental Health IncGroup PAC ID 1557804390, 16 clinicians

Practice addresses (Care Compare)

245 Ruth St N
Suite 101
Saint Paul, MN 55119-4409
Phone (651) 955-4633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3869MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Mental Health Inc Mental Health CurrentSince Jun 13, 2024 Accepting new patients
Cor Counseling Services LLC PastSince Aug 1, 2019 Accepting new patients

Locations

9298 Central Ave NE
Ste 304
Blaine, MN 55434
Phone (651) 955-4633

9298 Central Ave NE
Ste 310
Minneapolis, MN 55434
Phone (651) 955-4633

245 Ruth St N
Ste 101
Saint Paul, MN 55119
Phone (651) 955-4633

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1992351225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9298 CENTRAL AVE NE STE 310",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554344219",
            "telephone_number": "651-955-4633",
            "fax_number": "651-440-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9298 CENTRAL AVE NE STE 310",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554344219",
            "telephone_number": "651-955-4633",
            "fax_number": "651-440-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKENBACH",
        "first_name": "DENISE",
        "credential": "LMFT, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3869",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

Verify at the official NPI Registry.